Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Pine Rest Christian Mental Health Services

Psychiatry Physician in Caledonia, MI · enumerated 2006 · authorized official Diane Fennema, Managed Care Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619987740

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Pine Rest Christian Mental Health Services

Parent organization Pine Rest Christian Mental Health Services

Practice address 6505 Cherry Meadow Dr Se, Caledonia, MI, 49316

Phone (616) 891-8770

Enumeration date Aug 9, 2006

Last updated in NPPES Jun 18, 2026

Taxonomy & classification

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Secondary

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary

104100000X Social Worker Behavioral Health & Social Service Providers Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Diane Fennema

Title Managed Care Administrator

Phone (616) 281-6372

Other identifiers

Identifier	Type	State	Issuer
500D11133	Other	MI	NURSE PRACTIONERS
680D16189	Other	MI	PSYCHOLOGISTS
800D16222	Other	MI	SOCIAL WORKERS
350D148360	Other	MI	PEDIATRICS
110D148370	Other	MI	INTERNAL MD
260D17625	Other	MI	PSYCHIATRIST
P10D11275	Other	MI	PSYCHOLOGISTS, MA, DOCTOR

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Pine Rest Christian Mental Health Services located?

The practice location on file with NPPES is in Caledonia, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-18. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-18.